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Search › Idaho › 225200000X

Douglas Brown, PTA

NPI 1598131245 · on the registry since 2015

Practice

Address
1188 W University Dr
Boise, ID 83706
Phone
(208) 345-4446
Organisation at this address
Idaho Sports Medicine Institute
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho